Stemi Intervention: Primary Percutaneous Intervention
Comibining balloon angioplasty with bare metal stents or Drug eluting stents
ST-segment elevation myocardial infarction (STEMI) in Cardiology
Stent implantation for acute myocardial infarction is associated with a lower ratesof blood vessel revascularization With these reasons evident, main stenting of the infarct artery has emerged as the standard approach to treating these patients.
Although the introduction of bare metal stents led to a considerable improvement in the outcomes of patients undergoing percutaneous coronary intervention, restenosis and the attendant need for still continued to plague a considerable fraction of patients. A pooled analyses of 6186 patients from bare-metal stent trials showed a lesion revascularization rate of 12.2%,rate of 14.3% and blood vessel failure rate of The onset popularity of drug-eluting stents has represented a significant development in attempts to reduce the incidence of restenosis and its clinical correlation.
Restenosis if often a problem after primary PCI
Restenosis has a tremendous effect on quality of life. In the Optimum Percutaneous Transluminal Coronary Angioplasty Compared with Routine Stent Strategy , patients without restenosis experienced fewer physical limitations and an improved quality of life compared with patients with restenosis.